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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Yellowish Tongue After Having Antibiotics For Post Nasal Drip. Having Swollen Lymph Node In Neck With Burning Sensation

Hi I have had some strange sypmtoms over the last few weeks. It started with post nasal drip and the doctor gave me antibiotics. After starting the antibiotics my tounge turned yellowish, I made a trip back to the doctor and he said I had hairy tounge. I have improved my oral hygiene and am using Chlorahexadine and it seems to be clearing up but now I am experiencing swollen lymph nodes in my neck and collarbone on the right side. Sometimes its also a burning sensation. I still have a cough, dry mouth. I am a smoker.
Wed, 27 Nov 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
Post nasal drip is a feature of sinus infection or sinusitis.
The history suggests that you were suffering from sinusitis. Lymph nodes commonly enlarge in response to infections.
Poor oral hygiene can also cause enlargement of local lymph nodes.
However, inorder to know the cause of lymph node enlargement, an aspiration cytology of the lymph node needs to be done.
In this investigation, cells are aspirated using a needle, spread on slide and stained.
the cells are examined under the microscope. This investigation will identify whether the cells are neoplastic or non-neoplastic.

Smoking causes non-productive cough and dryness of oral mucosa.
You need to quit smoking to get rid of oral symptoms and coated tongue (hairy tongue).

thanks and take care
Dr Shailja P Wahal
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Yellowish Tongue After Having Antibiotics For Post Nasal Drip. Having Swollen Lymph Node In Neck With Burning Sensation

Hello and welcome to HCM, Post nasal drip is a feature of sinus infection or sinusitis. The history suggests that you were suffering from sinusitis. Lymph nodes commonly enlarge in response to infections. Poor oral hygiene can also cause enlargement of local lymph nodes. However, inorder to know the cause of lymph node enlargement, an aspiration cytology of the lymph node needs to be done. In this investigation, cells are aspirated using a needle, spread on slide and stained. the cells are examined under the microscope. This investigation will identify whether the cells are neoplastic or non-neoplastic. Smoking causes non-productive cough and dryness of oral mucosa. You need to quit smoking to get rid of oral symptoms and coated tongue (hairy tongue). thanks and take care Dr Shailja P Wahal